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Contact Information

OTHELLO R REPUYAN MD
4188 HOLIDAY ST NW
CANTON, OH44718
 Phone: 330-492-4277
 Fax: 330-492-6973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for OTHELLO R REPUYAN MD · (Female)

NPI # 1437254398
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 2651750
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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